Individual provider Active NPI

Charles B. Walton, MD

  • Surgery Physician
  • Henderson, NV
National Provider Identifier
1407833395
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5802 Issued in NV
Practice address
10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Phone
(702) 914-2420
Fax
(702) 914-6653
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5802 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908

Mailing address

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Phone (702) 914-2420

Other identifiers 1

IdentifierTypeStateIssuer
002002414MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000240 NV Practitioner - General Surgery 4385531987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Nevada Surgery Specialists LTDGroup PAC ID 9537146063, 15 clinicians

Practice addresses (Care Compare)

10001 S Eastern Ave
Suite 310
Henderson, NV 89052-3908
Phone (702) 914-2420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
69.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Surgery Specialists LTD Surgery CurrentSince Jan 1, 1982 Accepting new patients

Locations

10001 S Eastern Ave
Ste 201
Henderson, NV 89052
Phone (702) 914-2420

10001 S Eastern Ave
Ste 310
Henderson, NV 89052
Phone (702) 566-2400

2410 Fire Mesa St
Ste 170
Las Vegas, NV 89128
Phone (702) 483-4483

8285 W Arby Ave
Ste 225
Las Vegas, NV 89113
Phone (702) 236-4181

8285 W Arby Ave
Ste 190
Las Vegas, NV 89113
Phone (702) 263-9644

Interoperability endpoints

  • Direct secure messaging: charles.walton.1@5551.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5551/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1407833395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "5802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002414",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.